Published in:
Open Access
01-12-2018 | Case report
Exploratory laparoscopy combined with pathological examination in the diagnosis of obscure gastrointestinal bleeding in a child: a case report
Authors:
Jiande Chen, Bin Zhang, Zhilong Yan, Huaying Zhao, Kaihua Yang, Yong Yin, Lirong Jiang
Published in:
BMC Pediatrics
|
Issue 1/2018
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Abstract
Background
The diagnosis of obscure gastrointestinal bleeding (OGIB) which is defined as bleeding of unknown origin of the small bowel by routine evaluation in childhood is a challenge.
Case presentation
Here we report a one-year-old Chinese girl who was suspected with idiopathic pulmonary haemosiderosis (IPH) and referred to our department for further diagnosis. Finally she was diagnosed with vascular malformations (VM) by exploratory laparoscopy combined with pathological examination.
Conclusions
Children OGIB could be easily misdiagnosed in the beginning, and OGIB children with active ongoing bleeding may benefit from proceeding directly to exploratory laparoscopy, followed by pathological confirmation of the diagnosis.